GEHA Residential Behavioral Health

Government Employee Health Association Insurance acknowledges the critical role of mental health care and typically offers coverage for various treatment services. It’s important to note that insurance plans often cover treatment for behavioral health. While details can vary depending on the policy and regional regulations, their plans generally cover behavioral health treatment avenues such as:

• Residential Care: Treatment in a residential mental health facility where individuals reside for intensive care.
• Outpatient Services: Non-residential treatment, including sessions with behavioral health practitioners.
• Intensive Outpatient Programs (IOP): For significant mental health issues requiring frequent therapy but not hospitalization.
• Partial Hospitalization Programs (PHP): Daytime programs offering intensive therapy hours several days a week.
• Group Therapy: Therapist-led group sessions that provide a communal healing environment.
• Individual Therapy: Personal sessions targeting specific behavioral health needs.
• Family Therapy: Sessions incorporating family members to bolster family support systems.
• Behavioral Health Treatment: Approaches like CBT and DBT for various behavioral health conditions.
• Substance Use Disorder Treatment: Integrated treatment for concurrent mental health and substance use disorders.
• Telehealth Services: GEHA covers remote therapy and consultation services.

GEHA health insurance generally includes coverage for residential mental health treatment. However, the scope and terms of coverage can significantly vary depending on your individual policy and plan stipulations.

Steps to Navigate GEHA Coverage:

1. Review Your Policy: Understand the coverage details related to residential treatment in your plan documents.
2. Pre-authorization: Determine if your plan necessitates pre-authorization for residential care.
3. Provider Network: To maximize coverage, verify whether the treatment facility is within GEHA’s network.
4. Deductibles and Copayments: Be aware of your financial responsibilities even with GEHA coverage.
5. Contact GEHA Directly: Engage with GEHA to obtain definitive coverage details and any required pre-authorization information.
6. Utilize Cornerstone’s Verification Service: Our admissions team can contact GEHA on your behalf to clarify your benefits and coverage extent for residential treatment.

Remember, insurance plans often mandate coverage for behavioral health and substance abuse services comparably to physical health services, though specific coverage may vary.

The duration of a residential treatment period covered by GEHA can depend on various factors:

• Your GEHA Plan’s Coverage and Terms: The specific level of coverage and terms outlined in your GEHA plan.
• Medical Necessity: This is assessed and endorsed by a healthcare provider.
• Ongoing Progress Evaluations: Evaluations conducted throughout the treatment to assess progress.
• Plan Limitations: Potential limitations specified by your GEHA plan regarding the length of stay or type of residential program.

For precise details about your coverage, consulting with our admissions team, GEHA or examining your policy is recommended.

The timeline for admission into a residential facility that accepts GEHA coverage can differ based on several variables:

• Verification of Insurance Benefits: Confirming your specific residential treatment coverage under GEHA.
• Pre-authorization/Healthcare Provider Referral: Checking if these are requirements as per your GEHA plan.
• Availability at the Facility: Bed or space availability at the residential mental health center of your choice.
• Waiting Periods: Any applicable waiting periods under your GEHA policy.

For the most accurate admission timeline, it is advisable to connect with Cornerstone Healing Center or with GEHA for benefits verification and any requisite pre-authorization procedures, in addition to contacting the chosen residential facility to inquire about intake scheduling.